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Trustworthiness in qualitative inquiry as a foundation for rigorous research Akbar, M Agung
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.133

Abstract

Trustworthiness represents a fundamental criterion for ensuring rigor and scientific validity in qualitative research. Qualitative inquiry provides in-depth insights into human experiences within complex social and healthcare contexts; however, its credibility depends on systematic methodological rigor. This paper discusses the four core components of trustworthiness—credibility, dependability, confirmability, and transferability—as essential foundations for rigorous qualitative research. Credibility emphasizes accurate representation of participants’ lived experiences, dependability focuses on methodological consistency and transparency, confirmability ensures neutrality grounded in empirical evidence, and transferability addresses contextual applicability of findings. Various strategies, including prolonged engagement, triangulation, member checking, audit trails, reflexive journaling, and thick description, enhance trustworthiness across qualitative studies. Strengthening trustworthiness not only improves research quality but also increases confidence in qualitative findings for healthcare practice, policy development, and academic scholarship. Therefore, systematic application of trustworthiness principles is essential for producing reliable, meaningful, and impactful qualitative research outcomes.
PENINGKATAN KUALITAS HIDUP PASIEN TUBERKOLOSIS DENGAN HIPERSENSITIVITAS OAT MELALUI TERAPI INTEGRATIF: A CASE REPORT Sujati, Ni Ketut; Fadhilah, Laila; Rustiati, Nelly; Lisdahayati, Lisdahayati; Akbar, M Agung
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7374

Abstract

Pendahuluan: Tuberkulosis (TB) merupakan penyakit infeksi kronis yang masih menjadi masalah kesehatan global dengan angka kejadian tinggi dan munculnya resistensi terhadap obat anti-tuberkulosis (OAT). Penggunaan OAT jangka panjang sering menimbulkan reaksi hipersensitivitas yang dapat menurunkan kepatuhan terapi dan kualitas hidup pasien. Pendekatan terapi integratif melalui kombinasi akupunktur, herbal, fisioterapi, dan modifikasi diet diharapkan dapat mengurangi efek samping OAT dan mempercepat pemulihan. Tujuan: Penelitian ini bertujuan untuk menganalisis efektivitas penerapan terapi integratif terhadap peningkatan kualitas hidup pasien tuberkulosis dengan hipersensitivitas terhadap OAT. Metode: Penelitian ini menggunakan desain laporan kasus (case report) pada satu pasien perempuan berusia 25 tahun dengan diagnosis TB paru aktif dan hipersensitivitas OAT. Intervensi dilakukan selama empat bulan melalui kombinasi akupunktur, terapi herbal (Yue Hua Wan, yin chai Hu, Chaihu Shu Gan, dan Kencur), fisioterapi dada, serta modifikasi diet berbasis “Isi Piringku”. Pemantauan dilakukan terhadap gejala klinis, berat badan, tekanan darah, dan hasil pemeriksaan GeneXpert. Hasil: Setelah empat bulan intervensi, pasien mengalami peningkatan berat badan dari 35 kg menjadi 43 kg, perbaikan nafsu makan, kualitas tidur, serta penurunan gejala gastrointestinal tanpa efek samping tambahan. Hasil GeneXpert menunjukkan MTB not detected, menandakan keberhasilan eradikasi infeksi. Kesimpulan: Terapi integratif efektif dalam mengurangi reaksi hipersensitivitas OAT, meningkatkan status fungsional, dan memperbaiki kualitas hidup pasien. Pendekatan ini menunjukkan sinergi positif antara pengobatan tradisional dan terapi medis konvensional. Saran: Penelitian lanjutan dengan desain uji klinis terkontrol diperlukan untuk menilai efektivitas jangka panjang dan mengembangkan panduan praktik terapi integratif pada pasien tuberkulosis dengan hipersensitivitas obat.
The important role of community nurses post pandemic covid-19 Akbar, M Agung
Journal of Community Nursing and Primary Care Vol. 1 No. 1 (2024): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i1.26

Abstract

The COVID-19 pandemic has highlighted the pivotal role of community nurses in public health, particularly within local communities. This article examines the expanded responsibilities of community nurses in the post-pandemic era, focusing on their essential contributions to healthcare delivery, mental health support, health education, and chronic disease management. With an increased demand for long-term health monitoring for COVID-19 survivors, community nurses have become integral in guiding patients through rehabilitation and managing persistent symptoms. Their role in health education and prevention has also grown, as they educate communities on hygiene practices and vaccination to prevent future outbreaks. Additionally, community nurses provide critical mental health support and assist in the management of chronic conditions that have intensified post-pandemic. The article concludes by emphasizing the importance of supporting and investing in community nurses to strengthen public health infrastructure and prepare for future health crises.
Artificial Inteligent (AI) for future nursing services Akbar, M Agung
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.31

Abstract

Artificial Intelligence (AI) is transforming nursing services by enhancing decision-making, improving efficiency, and delivering personalized patient care. This article examines the applications, impacts, challenges, and future directions of AI in nursing. Key applications include predictive analytics for patient deterioration, automation of repetitive tasks, and clinical decision support, which collectively reduce workloads and improve care quality. AI also enhances nursing education through personalized learning systems and realistic simulations. Despite its benefits, challenges such as data privacy concerns, algorithmic biases, resistance to technology adoption, and insufficient regulatory frameworks hinder its full implementation. Addressing these challenges requires robust cybersecurity measures, inclusive AI development, comprehensive training programs, and clear guidelines to ensure ethical and effective integration into nursing practices. Looking to the future, advancements such as robotics, natural language processing, and AI-powered chatbots promise to further revolutionize nursing. Collaborative efforts between AI developers and nursing professionals are essential to tailor AI technologies for specific nursing tasks, ensuring relevance and usability. Additionally, incorporating AI training into nursing education will prepare future nurses to adapt to AI-driven healthcare environments. This article highlights the transformative potential of AI in nursing while emphasizing the need for a balanced approach to integration. By addressing barriers and leveraging innovative technologies, AI can enhance nursing services, delivering safer, more efficient, and patient-centered care. The findings underscore AI's role as a complementary tool that supports, rather than replaces, the human aspects of nursing care.
Strategies to address stigma and discrimination of people with HIV/AIDS through community system strengthening Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.2

Abstract

The COVID-19 pandemic has diverted attention from the HIV/AIDS epidemic, despite the ongoing need for substantial attention. In Indonesia, HIV/AIDS cases continue to fluctuate, with a significant cumulative number, highlighting the importance of community involvement in prevention and treatment efforts. The main barrier to addressing HIV/AIDS is the stigma and discrimination faced by People Living with HIV/AIDS (PLWHA), which hinders their access to healthcare services and social support. This article examines the approach of Community System Strengthening as a strategy to reduce stigma and discrimination against PLWHA. Through education, community involvement, and continuous counseling, it is hoped that society can become more supportive and reduce the social stigma PLWHA face. This study also provides community-based intervention guidelines as a solution to enhance the health and well-being of PLWHA in Indonesia.
Relationship between knowledge and adherence of type 2 diabetes mellitus patients in treatment: A cross-sectional study Akbar, M Agung; Harto, Toto; Al Hakim, Abdul Rahman
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.3

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disorder that requires long-term pharmacological treatment and sustained adherence to therapy to achieve optimal glycemic control and prevent complications. However, many patients experience difficulties maintaining consistent treatment adherence, which may worsen disease outcomes. Patient knowledge regarding diabetes management is considered an important factor influencing adherence behavior. Understanding the relationship between knowledge and treatment adherence is therefore essential for improving diabetes management strategies in primary healthcare settings. Objective: This study aimed to analyze the relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus in a primary healthcare setting. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. The research was conducted in October 2022 in the working area of UPTD Puskesmas Tanjung Baru. The study population consisted of patients diagnosed with type 2 diabetes mellitus, and a total of 30 respondents were included using a total sampling technique. The independent variable was patient knowledge regarding diabetes mellitus, while the dependent variable was treatment adherence. Data were collected using structured questionnaires and adherence checklists. Descriptive statistics were used to summarize respondent characteristics, and bivariate analysis was performed using the Chi-square test with a significance level of α = 0.05. Statistical analysis was conducted using SPSS software. Results: The results showed that most respondents had a moderate level of knowledge (43.3%), followed by good knowledge (33.3%) and poor knowledge (23.3%). Regarding treatment adherence, the majority of respondents demonstrated moderate adherence (53.3%), while 26.7% were categorized as adherent and 20.0% were non-adherent. The Chi-square test indicated a statistically significant relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus (p = 0.011). Respondents with higher knowledge levels tended to demonstrate better adherence to diabetes treatment. Conclusion: Knowledge level is significantly associated with treatment adherence among patients with type 2 diabetes mellitus. Improving patient knowledge through targeted education and counseling programs may enhance treatment adherence and support better diabetes management outcomes in primary healthcare settings.
Turning evidence into action: The role of research in shaping policy Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.12

Abstract

Evidence-based policy is essential for addressing complex global challenges such as health crises, climate change, and social inequalities. Despite its importance, translating research findings into effective public policy remains difficult due to gaps between researchers and policy makers, including differences in language, priorities, and working approaches. Strengthening communication and collaboration between academia and government is necessary to ensure that scientific evidence can inform policy decisions. Institutional mechanisms, adequate funding, and research agendas aligned with societal needs are also crucial to support evidence-based decision making. Strong synergy between research and policy will enable governments to develop more responsive, effective, and sustainable public policies.
The effect of lavender aromatherapy on the sleep quality of elderly patients: A quasi-experimental study Akbar, M Agung; Rizki, Fakhri; Aprilia, Rike
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.16

Abstract

Background: Sleep disturbances are common among elderly individuals and negatively affect physical health, psychological well-being, and overall quality of life. Non-pharmacological approaches such as lavender aromatherapy have increasingly been used to improve sleep quality across different populations. Objective: This study aimed to examine the effect of lavender aromatherapy on sleep quality among elderly patients. Methods: This study applied a quasi-experimental design with a pretest–posttest control group approach. A total of 60 elderly participants were recruited and randomly allocated into two groups consisting of 30 participants in the intervention group and 30 participants in the control group. The intervention group received lavender aromatherapy through a diffuser for 30 minutes each night before bedtime for 14 consecutive days, while the control group received routine care without aromatherapy exposure. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention period. Statistical analysis was performed using paired t-tests to evaluate changes in sleep quality within each group and independent t-tests to compare differences between the intervention and control groups. The level of statistical significance was set at p < 0.05. Results: The mean PSQI score in the intervention group decreased from 11.3 ± 2.1 at baseline to 6.2 ± 1.8 after the intervention, whereas the control group showed no significant change. Statistical analysis demonstrated significant differences between pretest and posttest scores in the intervention group and significant differences between groups after the intervention. Conclusion: Lavender aromatherapy significantly improves sleep quality among elderly patients and may serve as an effective complementary intervention in geriatric nursing care.
The role of nurse leaders in bridging research and clinical practice Akbar, M Agung
Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i1.82

Abstract

Postoperative pain following cesarean section is a common clinical problem that may affect Nurse leaders play a strategic role in bridging the gap between research findings and clinical practice in healthcare services. The integration of research evidence into evidence-based nursing practice is essential for improving healthcare quality and patient safety. This editorial article aims to discuss the critical role of nurse leaders in facilitating the implementation of evidence-based practice within clinical settings. The discussion highlights the leadership function of nurse leaders as connectors between researchers and practitioners, translators of research findings into practical clinical guidelines, and drivers of organizational change in healthcare institutions. Nurse leaders also contribute to fostering collaborative cultures between academia and clinical practice, ensuring the availability of resources to support research implementation, and developing policies that promote evidence-informed clinical decision-making. In addition, nurse leaders serve as role models in the adoption of evidence-based practice and encourage nurses to engage in research and quality improvement initiatives. Strong nursing leadership can therefore enhance the effective integration of research and clinical practice, ultimately improving healthcare quality and advancing the nursing profession.
Perceptions of a peaceful death among Indonesian muslim nurses: A qualitative study Akbar, M Agung
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.124

Abstract

Background: Nurses, as frontline healthcare providers, play a pivotal role in shaping patients’ end-of-life experiences. In Indonesia, where Islam is the predominant religion, nurses’ perceptions of a peaceful death are closely intertwined with religious and cultural values. However, empirical evidence exploring peaceful death from the perspective of Indonesian Muslim nurses remains limited. Objective: This study aimed to explore in depth the perceptions of a peaceful death among Indonesian Muslim nurses within the context of end-of-life care. Methods: This study employed a qualitative exploratory descriptive design. Participants were Muslim nurses with experience in caring for terminally ill patients and were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Four main themes emerged from the data analysis: (1) acceptance of death as a divine decree, (2) peaceful death as freedom from unnecessary suffering, (3) the central role of family and interpersonal relationships, and (4) the professional role of nurses in facilitating a dignified death. These themes illustrate that a peaceful death is perceived as an integration of spiritual, physical, emotional, relational, and professional dimensions of care. Conclusion: Indonesian Muslim nurses perceive a peaceful death as a holistic process emphasizing spiritual acceptance, patient comfort, family support, and dignified nursing care. These findings highlight the importance of culturally and spiritually sensitive palliative nursing practices. 
Co-Authors Agung Waluyo Ahmad Yamin Al Hakim, Abdul Rahman Amirudin, Ikhwan Anggraeni, Hesti Aprilia, Rike Aria Wibisana Astuti Yuni Nursasi Ayunani, Sabrina Cahya, Febriani Cahyadi, Gabriel Ekoputra Hartono Chandra Rahmadi Charista, Rysha Citra Amelia Yulianti Dea Wahyuni, Elisa Dian Ayubi Efrianty, Novalia Elisa Dea Wahyuni Eni Folendra Rosa Erlika, Yesifa Esi Afriyanti Etty Rekawati Etty, Rekawati Fadhilah, Laila Fadhillah, Laila Fakhri Rizki Fakhri Rizki Fatin, Nurul Ferdi, Roni Fitriani Agustina Gupta, Prateek Harsanto, D Eka Harto, Toto Hema Malini, Hema Henny Suzana Mediani Ina Yatul Khoiriyah Indah Ambarwati Iraningrum INDRA FRANA JAYA KK Joni Siahaan Junaiti Sahar Khoiriyah, Ina Yatul KK, Indra Frana Jaya Lina Oktavia, Lina Lisa Novianti Utami Lisdahayati Lisdahayati Lisdahayati Lisdahayati, Lisdahayati Mahafira, Nesa Dwi Martadinata, Umar Hasan Mulia Ganta Saputri Nelly Rustiati Neti Juniarti Ni Ketut Sujati Ningsih, Deasy Kurnia Novalia Efrianty Nurul Fitriah Pome, Gunardi Prateek Gupta Pratiwi, Afrida Prawiti, Ayu Dwi Rafela, Sindi Ramadhona, Shinta Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Rizki, Fakhri Roni Ferdi Roni Ferdi Rustiati , Nelly Rustiati, Nelly Rysha Charista Saltar, La Ode Samsuryadi Samsuryadi Saprianto Saprianto Saprianto, Saprianto Shinta Ramadhona Siahaan, Joni Siti Aulia Sukemi Sukemi Supangat Supangat Supangat Supangat , Supangat Supangat Marzuki Supangat Supangat Supangat Supangat Supangat Supangat Untung Sujianto Utami, Lisa Novianti Wang, Jing Jy Wati, Dwi Nurviyandari Kusuma Wibowo Apriandi Widyatuti Willy Astriana Wiwice Arianti Yesifa Erlika Yudi Budianto Yudi Budianto Zanzibar Zanzibar Zanzibar Zanzibar Zulfikri, Ahmad